The Miami-Marquette Challenge
2013-2014 Course
Course Title: “I tore my ACL - what
should I do? When can I play? Do I
need surgery?” – Applying the
Available Evidence to Counsel Patients
and Optimize Outcome with
Consideration of Patient Preferences
Course Speaker: Lynn SnyderMackler, PT, ScD, FAPTA
Date: Saturday April 12, 2014
Time: 8:00 am-1:15 pm
Registration begins at 7:30 am
Location: Centers for Rehab ServicesSports Medicine
South Side
Pittsburgh, PA
Direct Access CEU’s: 0
General Access CEU’s: 5
Total CEU’s: 5
Cost of Course: $100
All proceeds from this course will be
donated to the Foundation for Physical
Therapy as part of the MiamiMarquette Challenge.
Registration online:
http://pittphysicaltherapy.com/
Registration by mail: (see last page)
Course Objective:
After completing this course,
participants will be able to:
1. Counsel individuals with an ACL
injury on their options for both
surgical and non-surgical
management and educate them on
their plan of care.
2. Implement neuromuscular retraining techniques (perturbation
training) to normalize and improve
lower extremity stabilization
strategies to improve the chance for
success with non-operative
management.
3. Identify appropriate treatment
techniques to improve quadriceps
strength both before and after ACL
reconstruction that are effective and
safe.
4. Counsel individuals after an ACL
reconstruction on their potential for
re-injury after with a return to cutting
and pivoting sports.
5. Use evidence based functional tests
to determine readiness for return to
sports after operative and nonoperative management.
Course Description:
Anterior cruciate ligament injury
presents a significant barrier to
participation for an athlete, impacting
the current competitive season and
potentially subsequent competitive
seasons. Return to sport rates after
ACL reconstruction are poor and there
is no clear advantage to
reconstruction over non-operative
management. In situations where no
treatment is clearly superior,
treatment decisions should be made
based on the preference of patients
after being properly educated on their
likely outcomes with different
treatment options. Similarly,
returning to sports after ACL
reconstruction is associated with a
greater injury risk than for individuals
who have never been injured, thus
making education and minimizing
injury risk crucial in optimizing
outcome. This course will summarize
the available data to facilitate patient
education for decision making
concerning operative versus nonoperative management and the risk of
returning to sport after ACL
reconstruction. Treatment techniques
to improve the potential for success
will also be included both didactically
and in laboratory sessions, including
perturbation training to improve
dynamic knee joint stability,
progressive quadriceps strengthening,
and functional testing to evaluate
performance for informed decision
making. Over the past 25 years, the
work of Lynn Snyder-Mackler and her
laboratory at the University of
Delaware has sought to identify clear
and simple interventions to improve
the outcomes for patients after ACL
injuries. This has included
collaborations across the country and
in Europe, the results of which will be
highlighted.
Course Schedule:
8:00-8:30 –Post-injury and PreSurgery Rehabilitation
8:30-9:45 –Non-operative
rehabilitation to focus on advanced
neuromuscular re-education return to
high level activities and adaptation to
less demanding activities
9:45-11:00—Demonstration and Lab
Session for Perturbation Training
Techniques
11:00-11:15- Break
11:15-12:15- Progressive quadriceps
training exercise including
neuromuscular electrical stimulation
12:15-1:15—Late phase
rehabilitation to return to
activity/Demonstration and Lab
Session for NMES and Hop Testing
About the Speaker:
Dr. Snyder-Mackler is an
internationally recognized clinician
and clinical researcher in sports and
orthopedic rehabilitation. She is a
Board Certified Sports Physical
Therapist who maintains an active
Sports Physical Therapy practice at
the University of Delaware and serves
as a rehabilitation consultant to
collegiate, amateur and professional
teams. She served as Head Trainer for
the beach volleyball venue at the 1996
(Centennial) Olympic Games in
Atlanta. She concentrates her clinical
practice and research in the areas of
knee and shoulder rehabilitation, and
electrical stimulation of muscle. She
has authored more than 150 research
publications in the areas of knee and
shoulder rehabilitation and
neuromuscular electrical stimulation
and regularly speaks to national and
international audiences on these
topics. She was named a Catherine
Worthingham Fellow of the American
Physical Therapy Association in 2003
and Alison Professor at University of
Delaware in 2010. Her research has
won several major awards helping
patients and practitioners and
answering critical questions in sports
and orthopedic rehabilitation.
FOR REGISTRATION BY MAIL ONLY
Course Information:
Course Title: : “I tore my ACL - what should I do? When can I play? Do I need
surgery?” – Applying the Available Evidence to Counsel Patients and Optimize
Outcome with Consideration of Patient Preferences
Course Speaker: Lynn Synder-Mackler, PT, ScD, FAPTA
Date: Saturday April 12, 2014
Cost: $100-Make check payable to The Pittsburgh-Marquette Challenge
Registrant Information:
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Mail this completed form and check to:
Pitt-Marquette Challenge
6035 Forbes Tower
Pittsburgh PA, 15260